Total Joint Center of Excellence Scorecard

Advanced Comprehensive Joint Certification Measures 2023/24 Inpatient

Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.

THKR-1 Regional Anesthesia

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 0/1 0% 0/1 0% N/A N/A N/A 0% N/A N/A N/A N/A 100% N/A 100% 100% N/A 100%
Knee N/A N/A N/A N/A 1/1 100% NA 0% N/A N/A N/A N/A N/A 100% N/A N/A 100% N/A
Overall 0/1 0% 0/1 0% 1/1 100% N/A 0% N/A N/A N/A N/A 100% 100% 100% 100% 100% 100%

THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 1/1 100% 1/1 100% N/A N/A N/A 0% N/A N/A N/A N/A 0% N/A 100% 100% N/A 100%
Knee N/A N/A N/A N/A 1/1 100% N/A 100% N/A N/A N/A N/A N/A 100% N/A N/A 0% N/A
Overall 1/1 100% 1/1 100% 1/1 100% N/A 50% N/A N/A N/A N/A 0% 100% 100% 100% 0% 100%

THKR-3 Discharged to Home

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip N/A 0/1 0% 0/1 0% N/A N/A N/A 100% N/A N/A N/A N/A 100% N/A 100% 100% N/A
Knee N/A N/A N/A N/A N/A 0/1 0% N/A 100% N/A N/A N/A N/A N/A 100% N/A N/A 0%
Overall N/A N/A 0/1 0% 0/1 0% 0/1 0% N/A 100% N/A N/A N/A N/A 100% 100% 100% 100%

THKR-4 Preoperative Functional/Health Status Assessment

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 April '23 May '23 June '23 July '23 Aug '23 Sept '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip N/A 1/1 100% 0/1 0% N/A N/A 100% N/A N/A N/A N/A 100% N/A 100% 100% N/A 100%
Knee N/A N/A N/A 1/1 100% N/A N/A 100% N/A N/A N/A N/A N/A 100% N/A N/A 100% N/A
Overall 1/1 100% 0/1 0% 1/1 100% N/A 100% N/A N/A N/A N/A 100% 100% 100% 100% 100% 100%

THKR-5 Postoperative Functional/Health Status Assessment

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec'23 Jan'24 Feb'24 Mar '24
Hip 1/1 100% N/A N/A N/A N/A N/A 0% N/A N/A N/A N/A 0% N/A 100% 0% N/A N/A
Knee N/A N/A N/A N/A N/A N/A N/A 0% N/A N/A N/A N/A N/A 0% N/A N/A N/A N/A
Overall 1/1 100% N/A N/A N/A N/A N/A 0% N/A N/A N/A N/A 0% 0% 100% 0% N/A N/A

Advanced Comprehensive Joint Certification Measures 2023/24 Outpatient

THKR-1 Regional Anesthesia

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 19/21 90% 13/18 72% 12/15 80% 95% 94% 91% 89% 95% 92% 90% 96% 96% 100% 100% 100%
Knee 38/40 95% 32/43 74% 44/52 85% 96% 87% 88% 94% 100% 91% 95% 100% 97% 100% 97% 100%
Overall 57/61 93% 45/61 74% 56/67 84% 96% 90% 89% 92% 98% 91% 94% 98% 97% 100% 98% 100%

THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 18/21 86% 14/18 78% 12/15 80% 100% 83% 91% 89% 95% 83% 86% 84% 75% 80% 85% 85%
Knee 38/40 95% 36/43 84% 48/52 92% 96% 96% 91% 91% 89% 94% 82% 85% 79% 88% 85% 85%
Overall 56/61 92% 50/61 82% 60/67 90% 97% 90% 91% 90% 91% 91% 83% 85% 78% 86% 85% 85%

THKR-3 Discharged to Home

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 20/21 95% 17/18 94% 13/15 87% 95% 94% 100% 94% 95% 92% 95% 100% 96% 100% 100% 100%
Knee 38/40 95 42/43 98% 51/52 98% 100% 100% 100% 100% 97% 97% 95% 93% 97% 97% 94% 100%
Overall 58/61 95% 59/61 97% 64/67 96% 99% 99% 100% 98% 97% 96% 95% 95% 97% 98% 96% 100%

THKR-4 Preoperative Functional/Health Status Assessment

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 21/21 100% 18/18 100% 14/15 93% 100% 94% 100% 100% 100% 100% 100% 96% 100% 100% 100% 100%
Knee 39/40 98% 43/43 100% 51/52 98% 96% 100% 98% 97% 97% 100% 100% 100% 97% 100% 100% 100%
Overall 60/61 98% 61/1 100% 65/67 97% 97% 98% 99% 98% 98% 100% 100% 98% 98% 100% 100% 100%

THKR-5 Postoperative Functional/Health Status Assessment

  Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip 10/21 N/A N/A N/A N/A N/A 55% 35% 61% 39% 78% 40% 39% 32% 35% 40% N/A N/A
Knee 23/40 N/A N/A N/A N/A N/A 53% 38% 52% 56% 76% 37% 39% 43% 36% 59% N/A N/A
Overall 33/61 N/A N/A N/A N/A N/A 54% 37% 55% 50% 77% 38% 39% 38% 36% 55% N/A N/A